Abstract:

Objective　To study the effect of acupoint massage combined with sitting Baduanjin in improving constipation after cerebrovascular disease operation. Methods　This study was a randomized controlled trial. One hundred patients with constipation after cerebrovascular disease operation who were hospitalized in the Second Affiliated Hospital of Nanchang University between July 2021 and January 2023 were divided into two groups with 50 cases in each group according to the random number table method. In the control group, 28 males and 22 females, aged (61.25±3.25) years, were given conventional care; in the experimental group, 30 males and 20 females, aged (62.03±3.31) years, were given acupoint massage combined with sitting Baduanjin on the basis of the control group for 4 consecutive weeks. The quality of life, defecation score, and stool trait typing were compared between the two groups. χ² test, rank sum test, and t test were used. Results　After 2 and 4 weeks of treatment, the PAC-QOL scores in the experimental group were (46.38±4.85) points and (35.17±2.46) points, which were lower than those in the control group [(54.25±5.35) points and (41.05±4.23) points], with statistically significant differences (t=7.706 and 8.497, both P<0.001). After 2 and 4 weeks of treatment, the defecation scores in the experimental group were (1.42±0.38) points and (1.02±0.18) points, which were lower than those in the control group [(1.64±0.46) points and (1.26±0.27) points], with statistically significant differences (t=2.67 and 5.230, both P<0.05). After 2 and 4 weeks of treatment, Bristol's stool characteristics were classified as type Ⅰ (10 cases, 0), type Ⅱ (16 cases, 2 cases), type Ⅲ (16 cases, 10 cases), type Ⅳ (8 cases, 22 cases), and type Ⅴ (0, 16 cases) in the experimental group, which were better than those in the control group [type Ⅰ (13 cases, 0 cases), type Ⅱ (23 cases, 10 cases), type Ⅲ (12 cases, 15 cases), type Ⅳ (2 cases, 15 cases), and type Ⅴ (0, 10 cases)], with statistically significant differences (Z=2.221 and 2.667, P=0.026 and 0.008). Conclusion　Acupoint massage combined with sitting Baduanjin can effectively change the stool characteristics after cerebrovascular disease operation, promote the defecation, and improve the constipation and quality of life.

Key words:

Cerebrovascular disease, Constipation, Acupoint massage, Sitting Baduanjin

摘要：

目的　研究穴位按摩联合坐式八段锦在改善脑血管疾病术后便秘的效果。方法　本研究为随机对照试验。按照随机数字表法将2021年7月至2023年1月期间于南昌大学第二附属医院住院治疗的脑血管疾病术后便秘患者100例分为两组，各50例。对照组中男28例，女22例，年龄（61.25±3.25）岁，给予常规护理；试验组中男30例，女20例，年龄（62.03±3.31）岁，在对照组基础上给予穴位按摩联合坐式八段锦，两组连续治疗4周。比较两组生活质量、排便积分、大便性状分型。采用χ²检验、秩和检验、t检验。结果　治疗2周、4周后，试验组患者便秘状况评估量表（PAC-QOL）评分分别为（46.38±4.85）分、（35.17±2.46）分，低于对照组的（54.25±5.35）分、（41.05±4.23）分，差异均有统计学意义（t=7.706、8.497，均P<0.001）；试验组排便费力分值分别为（1.42±0.38）分、（1.02±0.18）分，低于对照组的（1.64±0.46）分、（1.26±0.27）分，差异均有统计学意义（t=2.67、5.230，均P<0.05）；试验组患者布里斯托大便分类法大便形状分型［Ⅰ型（10例、0）、Ⅱ型（16例、2例）、Ⅲ型（16例、10例）、Ⅳ型（8例、22例）、Ⅴ型（0例、16例）］与对照组［Ⅰ型（13例、0例）、Ⅱ型（23例、10例）、Ⅲ型（12例、15例）、Ⅳ型（2例、15例）、Ⅴ型（0例、10例）］比较，差异均有统计学意义（Z=2.221、2.667，P=0.026、0.008）。结论　穴位按摩联合坐式八段锦可有效改变脑血管疾病患者术后大便形状，促进排便，改善便秘，提高生活质量。

关键词:

脑血管疾病, 便秘, 穴位按摩, 坐式八段锦